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1821528480
BRAXTON LANE NOTTINGHAM
EDMOND, OK
NPI
1821528480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 32946)
Enumeration Date
2017-06-15
Last Update Date
2023-09-28
Business Address
BRAXTON LANE NOTTINGHAM MD
2557 OLD TIMBERS DR
EDMOND, OK 73034-9813
Phone number: 405-669-2600
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Mailing Address
BRAXTON LANE NOTTINGHAM MD
3001 QUAIL SPRINGS PKWY FL 5
OKLAHOMA CITY, OK 73134-2640
Phone number: 405-669-2600
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